Jingxuan Wang

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

229 Terry St
Longmont, CO 80501-5930

Phone

(303) 883-1799

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1023840360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 40TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 TERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015930",
            "telephone_number": "303-883-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JINGXUAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Sue Wallen, NP-C
• Kory Wallin, DMD
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Kimberly Ann Wantz, MSW,LCSW
• Laura Warner-Jennings
• Britt Erika Warner, PA-C
• Warren H Valencia, MD, PC
• Jessica Ivy Wasieleski, LPC, ATR

• All providers in Longmont, CO
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.